HSR&D Merit Review Research Career Scientist Award

这项拟议的研究职业科学家奖是为了支持考特尼·范·霍文博士的活动， 她是退伍军人事务部的一名经验丰富的调查员，使她能够扩大她的科学，男性- 托林和服务贡献。Van Houtven博士领导了一项研究，测试护理模型以改善 有功能限制的老年人的功能和独立性及其非正式照顾者的功能。 她的研究议程的首要目标是使有风险的退伍军人能够像POS一样安全地呆在家里。 可行的，并尽可能长的时间。这项研究很重要，因为有980万65岁以上的退伍军人 550万退伍军人接受非正式护理，以便留在家里。Van Houtven博士的大多数 已经在退伍军人管理局的医疗保健系统中进行了研究。Van Houtven博士利用退伍军人事务部HSR&D资助的职业生涯 发展奖，以获得设计和测试干预措施的指导和培训。 她在顶级卫生经济学、卫生服务研究和老年病学杂志上发表了116篇论文。 谷歌学者的查询显示，她的工作被引用了4011次，h指数为28(8/2020)。范医生 Houtven领导或共同领导了五项VA研究，相当于超过1300万美元的VA赠款资金，并被联合 在13项退伍军人事务部的研究中。她的研究贡献包括测试技能培训计划的有效性 RCT中有功能障碍的退伍军人患者的照顾者，称为HI-Fives(JGIM 2019)。改编版的 名为IHI-Fives的HI-Fives版本已在8个退伍军人管理局站点使用阶梯式楔形集群范围- 将RCT作为优化函数和独立查询的一部分。项目办公室已要求 IHI-Five是其绩效标准的一部分，以扩大对照顾者的服务。另外，范博士 Houtven与Durham Adapt的一个团队指导对退伍军人护理人员支持计划的合作评估 和退伍军人事务部全国护理员支持计划。在过去的六年里，她衡量了项目的影响 并向方案办公室提供了反馈，详细说明了该计划如何改善照顾者和 退伍军人和该计划可以改进的地方。除了为评估项目发表10篇文章外，她 支持SecVA(2017)的国会证词，并满足了方案办公室领导人的快速请求。 除了Van Houtven博士的研究活动外，她还帮助建立下一代退伍军人管理局研究人员 通过指导。如今，她指导了4名退伍军人管理局CDA(其中2名为小学教师，2名为共同导师)，1名K级获奖者，并 曾在10个论文委员会任职。她的退伍军人服务承诺包括对退伍军人护理人员支持的贡献- 港口计划战略规划，选择家园计划指标委员会主席，执行赠款 审查HSR&D/QUERI，并参与SOTAS和特别退伍军人管理局计划。她的职业地位可以 由国家和国际特邀讲座进行评估，例如来自美国国家科学院的 工程和医学，国立卫生研究院和伦敦经济学院；通过有影响力的酒吧- 演讲(例如，HSR&D 2017年度文章的高级作者，Thorpe等人)；以及活动，如她的Coedi- 受尽折磨，例如在医疗研究和评论。2019年，她与他人共同创立了退伍军人护理协作组- 由领先的退伍军人管理局照顾者研究人员组成。Van Houtven博士是国际公认的领导者- 从事非正规护理经济学研究的ING学者。 研究职业科学家奖允许的保护时间将允许她扩大自己的贡献 到退伍军人管理局HSR&D使命，重点是改善对有功能障碍的退伍军人的护理和生活 看护人。Van Houtven博士提议的获奖期活动包括：1)利用 Durham硬币中的独立核心以扩展VA Caregiver Collaborative；2)在 实施研究的经济评价中以人为中心的衡量和推进方法；以及 3)招聘、培训和指导研究员和早期职业调查员，以建立护理模式方面的专业知识 功能受损的退伍军人和照顾者，特别关注健康公平。

This proposed Research Career Scientist award is to support the activities of Dr. Courtney Van Houtven, who is an experienced Department of Veterans Affairs investigator, allowing her to expand her scientific, men- toring, and service contributions. Dr. Van Houtven leads research studies that test care models to improve the function and independence of older adults with functional limitations and the function of their informal caregivers. The overarching goal of her research agenda is to enable at-risk Veterans to remain at home as safely as pos- sible and for as long as possible. This research is important because there are 9.8 million Veterans over age 65 and 5.5 million Veterans receive informal care in order to remain at home. The majority of Dr. Van Houtven’s research has been conducted in the VA healthcare system. Dr. Van Houtven used a VA HSR&D funded Career Development Award to gain mentorship and training to design and test interventions. Her 116 published articles are in top-tier health economics, health services research, and geriatrics journals. A Google Scholar query shows that her work has earned 4,011 citations with an h-index of 28 (8/2020). Dr. Van Houtven has led or co-led five VA studies, representing over $13 million in VA grant funding, and been co-I on 13 VA studies. Her research contributions include testing the effectiveness of a skills training program for caregivers of Veteran patients with functional impairment in an RCT, called HI-FIVES (JGIM 2019). An adapted version of HI-FIVES called iHI-FIVES has been implemented at 8 VA sites using a stepped wedge cluster ran- domized RCT as a part of the Optimizing Function and Independence QUERI. The Program Office has requested that iHI-FIVES be a part of its performance standards to expand services to caregivers. Additionally, Dr. Van Houtven directs the partnered evaluation of the VA Caregiver Support Program with a team from Durham ADAPT and the VA National Caregiver Support Program. Over the past six years, she has measured program impacts and provided feedback to the program office detailing how the program is improving the lives of caregivers and Veterans and where the program can improve. Besides publishing 10 articles for the evaluation program, she supported congressional testimony of the SecVA (2017) and filled rapid requests from Program Office leaders. In addition to Dr. Van Houtven’s research activities, she is helping build the next generation of VA researchers through mentoring. Today she mentors 4 VA CDAs (2 as primary, 2 as co-mentor), 1 K-awardee, and has served on 10 dissertation committees. Her VA service engagement includes contributions to VA Caregiver Sup- port Program strategic planning, chairing the metrics committee of the Choose Home Initiative, performing grant reviews for HSR&D/QUERI, and participating in SOTAs and special VA initiatives. Her professional stature can be assessed by national and international invited talks, such as from the National Academies of Sciences, En- gineering, and Medicine, National Institutes of Health, and London School of Economics; through impactful pub- lications (e.g. senior author on HSR&D 2017 article of the year, Thorpe et al); and, activities such as her coedi- torships, such as at Medical Care Research and Review. In 2019 she co-founded the VA Caregiver Collabora- tive, comprising of leading VA caregiver researchers. Dr. Van Houtven is recognized internationally as the lead- ing scholar in economics of informal care research. The protected time allowed by a Research Career Scientist award will allow her to expand her contributions to the VA HSR&D mission, with a focus on improving care for Veterans with functional impairments and the lives of caregivers. Dr. Van Houtven’s proposed activities for the award period include: 1) leveraging the Function and Independence Core in the Durham COIN to expand the VA Caregiver Collaborative; 2) advancing methods in person-centered measurement and advancing methods in economic evaluation of implementation studies; and, 3) recruiting, training and mentoring fellows and early career investigators to build expertise in care models for functionally impaired Veterans and caregivers, especially focused on health equity.